Multicultural Competencies Framework

Cultural competency is a set of appropriate behaviours, attitudes and policies among professionals and enables them to work efficiently in cross-cultural situations (NCCC, 2006). A culturally competent health care system can eliminate cultural inequities, provide greater quality of care, and have less patient dissatisfaction and more positive health consequences. A conclusion reached in a study (Palafox et al., 2002) states, culture influences the outcome of medical examination and; therefore, it is vital to provide culturally competent health care services. Cultural competency is especially important in the context of radiographic examination due to the variety of culturally different patients a radiographer comes in contact. The following case study effectively highlights the impact of cultural competency.

“The new mestiza copes by developing a tolerance for contradictions, a tolerance for ambiguity. She learns to be an Indian in Mexican culture, to be Mexican from an Anglo point of view. She learns to juggle cultures. She has a plural personality, she operates in a pluralistic mode—nothing is thrust out, the good, the bad, and the ugly, nothing rejected, nothing abandoned. Not only does she sustain contradictions, she returns the ambivalence into something else”

Since Bobby is Hispanic, comes from a poor upbringing, did not finish his education, and is unable to hold a job as an adult; treatment must be dealt with according to his ethics and culture. Information found under the APA Guidelines, Policy Statements, and Resolutions the discussion of proper procedure in ethnic background treatment and diversity (APA, 2010). The recommendation of a Hispanic psychologist will only assist in allowing Bobby to open up to treatment. The cultural similarities will assist in Bobby understanding that his parent’s life style was not appropriate; and if he continues on the same path he will not change the cycle that has caused him so much pain. Any language difference would be more accommodated with a Hispanic psychologist (APA, 2010). At this time Bobby has been able to correspond on an pragmatic level of English that was understandable. The treatment plan laid out for Bobby under Research and Evaluation allows for civil commitment. This will give Bobby time to gain control of the substance abuse and take control of the trauma from his past. The Hispanic intervention will allow for a more comforting environment. This part is important because Bobby suffered from abuse and neglect from his parents (Zalta, et al., 2014). His desire was to please his mother, no matter her requests. Although he now understands that instead of his parent’s protection he was abused and left

Over time, society has become increasingly diverse and globally connected. In order to meet the needs of an interconnected society, the American Counseling Association (ACA) endorsed the creation of multicultural and social justice competencies (Ratts, Singh, Butler, Nassar-McMillan, & McCullough, 2016). The Multicultural and Social Justice Counseling Competencies (MSJCC) were developed in order to showcase the importance of integrating MSJCC into all aspects of the counseling profession. Originally, these competencies were geared more toward majority professionals working with minority clients. However, it has become more clear that the range of diversity is endless and it is not uncommon for privileged clients to be counseled by minority counseled (Ratts, et al., 2016).

Competency is something education and care services and educators strive for constantly. It is what a service must demonstrate to prove it is meeting or exceeding the National Quality Standard. But there is a special type of competency that all services must achieve to deliver high quality education and care to all children—cultural competency. Cultural competence is an essential practice of both the Early Years Learning Framework and the Framework for School Aged Care—My Time, Our Place. It is based on the principle contained in both frameworks—respect for diversity. Can educators and services ever truly become culturally competent? Many would say that achievement of this competency is always just beyond grasp. That is why the

In this great nation we live in today that has been vastly increasing diversity bring so many great opportunities. But with these great opportunities there are also challenges that are continually looked over constantly. One of the challenges is our health care system that fails to deliver culturally competent services. Cultural competency helps to enable providers to deliver services that are respectful to diverse patients. This helps with patients own health beliefs, practices and cultural and linguistic needs. This is why this training is needed in every health facility. Many doctors go through this problem not understanding their patient’s needs. If I were a doctor I would use this skill. Certain racial and ethnic minorities receive poorer

Guideline 1: Psychologists are encouraged to recognize that, as cultural beings, they may hold attitudes and beliefs that can detrimentally influence their perceptions of and interactions with individuals who are ethnically and racially different from themselves (American Psychological Association, 2003). I agree that psychologist can hold many different beliefs concerning others. The beliefs can sometimes hinder a person from growing emotionally, and cognitively. In my opinion it is important for the professional to be familiar with the diversity that may exist in their patients and remain professional in their

The progress I have made on building cultural competence is I met this guy while I was at work, and he was telling about how his insurance won’t be able to cover for his visit to campus health. I suggested to him that maybe he change health care providers to someone who can possibly help cover more things than the one he has now. Also in one of my public health classes one of my teachers is having a luncheon with people who have HIV and I know if I go to the event I can get a better insight on what they are dealing with and find out ways to help them, since the luncheon is ran by an organization that helps people who live with HIV, or I could just give them support

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

Providing culturally competence are available constructs in augmentation of patient centered healthcare delivery that has been heavily emphasized in recent years. In particular to this writer’s professional career there have been ongoing improvements seen on a corporate and care level made to the implementation in providing culturally competent care. In this paper, we explore culturally competent and patient centered care with the Mexican female population here in the northeast. In doing so, the demonstration of timely theoretical frameworks of cultural competence must be afforded to our patients; to improve interactions in an interpersonal level. This group was recognized primarily due to identifying the integral role the female plays

It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).

Cultural competency can be viewed as an ongoing journey of commitment and active engagement through the process of cultural awareness, knowledge, skills and cultural encounter (Coolen, 2012).Trust is the underlying purpose behind cultural competency in the development of health care provider and patient relationship. Health care professionals need to become more sensitive, respectful and attentive to the patients cultural beliefs and practices. Self-awareness is particularly important when communicating where barriers exists, unconscious prejudices may hinder the successful building of therapeutic relationships. In order to provide culturally sensitive pain management, a patients pain must be considered within the context of the individual’s

Multicultural group counseling takes place when a counselor and/or clients are from differing cultural, race, and/or ethnicity groups. Due to the significant demographic changes that are occurring in the United States, multiculturalism is becoming increasingly important. When acting as a multicultural group counselor, it is important to modify techniques to reflect the cultural differences of the client, be prepared to deal with difficulties during the counseling process, and understand the way culturally diverse people conceptualize their problems as well how they resolve them (Gladding, 2012). In order to be an effective multicultural counselor, it is important that one is aware of their cultural heritage, understands how their cultural background affects their attitudes, values, and beliefs, recognizes the limitations of their multicultural expertise and/or competency, and identify the root of their discomfort with different clients (Gladding, 2012). One can implement these through three key aspects Gladding (2012) outlined in his book and effective leadership skills.

from the context of the personal culture of the client (Sue, Arrendondo & McDavis, 1994; Sue &

In the beginning of the course I had very little knowledge about the theories in multicultural counseling. I knew that it was centrally focused around social justice and equality but I didn’t know there were theories that pertained to specific ethnic minorities. I also learned that there isn’t a one size fits all theory. What I learned was that each model needs to be unique to the client and very well rounded; it should include a specific goal(s), describe the process, “have both aspects of cognition and emotion, and include justice and equity as well.” (Jun 2010) I have learned that as a multicultural counselor you have to be very aware and mindful of your thoughts and actions. I learned that there is a lot that is integrated into multicultural counseling and it isn’t cut and dry. There are varieties of concepts, such as being aware of oppression, continuous self-reflection, awareness of impact that a multicultural counselor can have on an individual, etc. (Jun, 2010)